| NPI | 1578047981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: TX 127296) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT127296) |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2026-06-28 |